Active NPI 1639188147 Individual Practitioner Male Practitioner

Dr. Kalyan Kumar Rath , MD

Pediatrics • Jasper, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kalyan Rath, MD is a certified Pediatrics practicing in Jasper, TX. With approximately 40 years of clinical experience since completing medical education in 1986, Dr. Rath delivers high-quality medical care to the local community at 1273 S PEACHTREE.

Dr. Rath is affiliated with East Texas Family Healthcare Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include chronic care management services, first, insertion of needle into vein for collection of blood sample, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1273 S Peachtree

Jasper, TX 75951

Telephone 4093849200

Fax 4093849205

Associated Practice Facility / Clinic

🏢 East Texas Family Healthcare, Pllc Facility NPI 1770754335

Medicare Profile & Education

Medical School

Other

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Jasper, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs Matches City Avg

City Avg: 40.0 Yrs

State Avg: 22.0 Yrs

Regional Practice Density

2 Specialists

Practicing in Jasper, TX (5841 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

28.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rath (40 Years) 40 Yrs

Jasper Specialty Average (40.0 Years) 40.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	47	12	$75.00	$59.91
36415 Insertion of needle into vein for collection of blood sample	19	12	$20.00	$8.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	115	20	$75.00	$61.21
36415 Insertion of needle into vein for collection of blood sample	16	14	$20.00	$2.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	63	29	$116.49	$84.92
36415 Insertion of needle into vein for collection of blood sample	50	41	$20.00	$3.00
81002 Urinalysis, manual test	31	25	$15.00	$3.48
83036 Hemoglobin A1C level	26	19	$30.00	$9.71
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	22	16	$75.00	$40.04
93000 Routine ekg using at least 12 leads including interpretation and report	21	20	$80.00	$14.42
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	17	16	$10.00	$0.04
94640 Inhalation treatment for airway obstruction or sputum production	17	16	$55.00	$13.63
94060 Test to measure expiratory airflow and volume changes before and after medication administration	16	15	$125.00	$45.38
82570 Creatinine level to test for kidney function or muscle injury	15	15	$25.00	$5.18
82044 Urine microalbumin (protein) analysis	15	15	$25.00	$6.23
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	14	14	$30.00	$25.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	78	33	$105.00	$72.15
36415 Insertion of needle into vein for collection of blood sample	66	55	$20.00	$2.99
83036 Hemoglobin A1C level	36	25	$30.00	$9.63
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	27	15	$75.00	$40.90
81002 Urinalysis, manual test	25	22	$15.00	$3.44
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$80.00	$16.43
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	12	12	$30.00	$25.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	123	49	$105.00	$72.38
36415 Insertion of needle into vein for collection of blood sample	113	81	$20.00	$2.94
J0696 Injection, ceftriaxone sodium, per 250 mg	76	17	$22.00	$0.59
83036 Hemoglobin A1C level	65	38	$30.00	$10.57
81002 Urinalysis, manual test	58	40	$15.00	$3.41
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	49	15	$75.00	$40.66
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	44	22	$50.00	$16.20
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	26	26	$30.00	$25.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	17	$160.00	$106.16
82044 Urine microalbumin (protein) analysis	24	24	$25.00	$6.11
93000 Routine ekg using at least 12 leads including interpretation and report	24	24	$80.00	$16.40
87804 Detection test by immunoassay with direct visual observation for influenza virus	22	11	$40.00	$16.22
82570 Creatinine level to test for kidney function or muscle injury	21	21	$25.00	$5.63
94640 Inhalation treatment for airway obstruction or sputum production	19	18	$55.00	$17.17
J1040 Injection, methylprednisolone acetate, 80 mg	18	14	$25.00	$12.27
94060 Test to measure expiratory airflow and volume changes before and after medication administration	17	17	$125.00	$56.27
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	17	16	$10.00	$0.04
71046 X-ray of chest, 2 views	13	12	$125.00	$19.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	128	89	$20.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	73	33	$105.00	$70.33
83036 Hemoglobin A1C level	68	44	$30.00	$11.75
81002 Urinalysis, manual test	58	45	$15.00	$3.41
J0696 Injection, ceftriaxone sodium, per 250 mg	54	13	$22.00	$0.58
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	35	35	$30.00	$24.99
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	31	21	$50.00	$18.66
93000 Routine ekg using at least 12 leads including interpretation and report	28	28	$80.00	$16.29
82044 Urine microalbumin (protein) analysis	25	24	$25.00	$6.11
82570 Creatinine level to test for kidney function or muscle injury	24	23	$25.00	$6.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	14	$160.00	$102.57
71046 X-ray of chest, 2 views	19	18	$125.00	$18.22
J1040 Injection, methylprednisolone acetate, 80 mg	15	14	$24.33	$12.23
94640 Inhalation treatment for airway obstruction or sputum production	14	14	$55.00	$17.58
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	14	14	$300.00	$116.87
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	13	13	$10.00	$0.05
77080 Dxa bone density measurement of hip, pelvis, spine	11	11	$200.00	$39.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	111	88	$20.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	76	45	$105.00	$69.32
81002 Urinalysis, manual test	71	57	$15.00	$3.43
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	68	27	$65.00	$40.53
83036 Hemoglobin A1C level	62	41	$30.00	$13.05
93000 Routine ekg using at least 12 leads including interpretation and report	37	37	$80.00	$16.10
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	35	35	$30.00	$24.85
82044 Urine microalbumin (protein) analysis	33	33	$25.00	$6.15
82570 Creatinine level to test for kidney function or muscle injury	31	31	$25.00	$6.96
87804 Detection test by immunoassay with direct visual observation for influenza virus	28	11	$40.00	$16.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	22	$160.00	$102.93
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	19	12	$50.00	$24.05
94640 Inhalation treatment for airway obstruction or sputum production	18	18	$55.00	$17.12
71020 X-ray of chest, 2 views, front and side	17	17	$85.00	$15.73
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	17	17	$10.00	$0.05
94060 Test to measure expiratory airflow and volume changes before and after medication administration	14	14	$125.00	$57.38
G0444 Annual depression screening, 5 to 15 minutes	12	12	$35.00	$17.07
G0442 Annual alcohol misuse screening, 5 to 15 minutes	11	11	$25.00	$17.07

Medical Specialties & State Licenses

CMS Verified: 2026-07-15

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TX K1016

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Clinic/Center - Rural Health

NUCC Taxonomy Code: 261QR1300X

State License TX K1016

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

121389401 (TX)

Hospital & Practice Group Affiliations

East Texas Family Healthcare Pllc

1273 S Peachtree St, Jasper, TX 759514915

Phone: 4093849200

Secondary Practice Locations

920 N Magnolia St

Woodville, TX 759794519

Phone: 4092835556

1905 N Margaret Ave

Kirbyville, TX 759561652

Phone: 4094200816

1304 W Court St

Newton, TX 759663009

Phone: 4093849200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Jenna-Maree Inman , FNP-BC

Nurse Practitioner - Family

NPI 1215393533

Family Nurse Practitioner (Board Certified)

Heather Reagan , AFNP

Nurse Practitioner - Family

NPI 1326671231

Sylvia Duhon

Nurse Practitioner - Family

NPI 1336712991

Dr. Durba Mishra , MD

Internal Medicine

NPI 1588673008

Doctor of Medicine (M.D.)

Kelly Malone , PA-C

Physician Assistant

NPI 1962794594

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Business Mailing Address July 15, 2026

Registered at 1273 S PEACHTREE ST, JASPER, TX 759514915 (Tel: 4093849200)

✅

NPI Profile Active June 01, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location June 01, 2011

Registered at 1273 S PEACHTREE, JASPER, TX 75951 (Tel: 4093849200)

📍

Updated Business Mailing Address June 01, 2011

Registered at 1273 S. PEACHTREE ST., JASPER, TX 75951 (Tel: 4093849200)

👤

Provider Name / Credentials Updated June 01, 2011

Recorded as KALYAN RATH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2011

Pediatrics (License #K1016 in TX)

🟢

Initial NPI Registration & Enumeration August 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639188147

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 05, 2006

Last Update: July 15, 2026

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1273 S Peachtree St

Jasper, TX 759514915

Phone: 4093849200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.